Coliques hépatiques révélant une agénésie de la vésicule biliaire : un diagnostic préopératoire difficile

Bouchè, M.; Mesureur, S.; Forzini, T.; Buisson, Philippe

doi:10.1016/j.arcped.2017.04.011

Cited by 1 publication

(1 citation statement)

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“…The cholangio-MRI allows the biliary tree to be analyzed with precision and confirms gallbladder agenesis [4,5]. It also eliminates an ectopic gallbladder (on the left of the falciform ligament, intrahepatic, retrohepatic, retroduodenal or retropancreatic) [6]. Abdominal CT has no place for confirming the diagnosis of gallbladder agenesis; however, according to some authors, it can be used in the absence of MRI [5].…”

Section: Discussionmentioning

confidence: 99%

Gallbladder Agenesis: Two Cases Report and Brief Literature Review

Meriam¹,

Alj²,

Asma³

et al. 2020

UCMS

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Agenesis of the gallbladder and the cystic duct is one of the rarest congenital abnormalities of the biliary system. Almost half of the patients develop common duct stones and 23% of them manifest signs and symptoms that mimic biliary colic. We present two cases of gallbladder agenesis. The first case is of a woman presenting symptoms of biliary colic. Laparoscopy failed to reveal either gallbladder or cystic duct. The procedure was continued to further search for ectopic sites of gallbladder. A gallbladder agenesis was suspected and then confirmed via post-operative magnetic resonance cholangio-pancreatography, who also objectified a cystic dilatation and septum of the main bile duct. The second case is of a woman with symptoms of biliary colic. A first abdominal ultrasonography objectified a "scleroatrophic" gallbladder; on the second ultrasonography a gallbladder agenesis was suspected and later confirmed via magnetic resonance cholangio-pancreatography. We report through these cases our experience with regard to the challenges associated with the diagnosis and management, and a brief review of the literature of this rare pathology.

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Section: Discussionmentioning

confidence: 99%